| Wallace Urgent Care Llc | |
|
112 Medical Village Dr Unit F Wallace NC 28466-9999 | |
| (910) 285-0333 | |
| (910) 285-0336 |
| Full Name | Wallace Urgent Care Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 112 Medical Village Dr, Wallace, North Carolina |
| Authorized Official Name and Position | Kamran Goudarzi (OWNER) |
| Authorized Official Contact | 9102850333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wallace Urgent Care Llc 112 Medical Village Dr Unit F Wallace NC 28466-9999 Ph: (910) 285-0333 | Wallace Urgent Care Llc 112 Medical Village Dr Unit F Wallace NC 28466-9999 Ph: (910) 285-0333 |
| NPI Number | 1841259025 |
|---|---|
| Provider Enumeration Date | 03/17/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841259025 | NPI | - | NPPES |
| 7901736 | Medicaid | NC | |
| 01736 | Other | NC | NCBCBS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Wallace Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Medical Village Dr, Ste G, Wallace, NC 28466 Phone: 910-285-0333 | |
House Of Raeford Health & Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Medical Village Dr Ste F, Wallace, NC 28466 Phone: 910-285-0940 Fax: 910-285-1825 | |
Goshen Medical Center - Wallace Elementary Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4266 S Nc Highway 11, Wallace, NC 28466 Phone: 910-267-1942 | |
Blair Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 E Main St, Wallace, NC 28466 Phone: 910-285-3380 | |
Daniel M Ricci M.d. P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 207 E Murphy St, Wallace, NC 28466 Phone: 910-285-4100 Fax: 910-285-4766 | |
Po Powell Management Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Medical Village Dr Ste F, Wallace, NC 28466 Phone: 910-665-1780 Fax: 910-665-1780 |